DR. SHILPA GOPAL REDDY (NPI# 1639218639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639218639 |
| Entity Type | Individual |
| Full Name | DR. SHILPA GOPAL REDDY |
| Credential | MD |
| Practice Address |
5310 Homestead Rd Ne Suite 301 Albuquerque NM 87110-1437 |
| Practice Telephone | 5058724700 |
| Practice Fax Number | 5058724709 |
| Mailing Telephone | 5058724700 |
| Mailing Fax Number | 5058724709 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD2009-0556 | NM | Other Service Providers |
| N | 208D00000X | General Practice | 2006-0363 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS | NM005FG2 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1013367416 | Shilpa Reddy | Family Medicine | 200 Strykers Rd Ste 1, Phillipsburg, NJ 08865-9488 | 2016-06-16 |
| 1376973008 | Shilpa Reddy | Dentist | 1221 N Euclid St, Anaheim, CA 92801-1954 | 2013-11-15 |
| 1114071412 | Shilpa Reddy | Internal Medicine | 204 E. 19th St., Digestive Diseases Center, Panama City, FL 32405-4707 | 2007-01-23 |
| 1174020358 | Shilpa Reddy | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Ste 401, Muncie, IN 47303-3433 | 2018-04-12 |
| 1134646342 | Shilpa Reddy | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Chicago, IL 60611-2909 | 2017-08-28 |
| 1861758369 | Shilpa Gillella Reddy | Ophthalmology | 2349 Deming Way, Middleton, WI 53562-5530 | 2012-04-09 |
| 1114202850 | Shilpa Reddy | Psychologist | 1735 Mission St, San Francisco, CA 94103-2417 | 2011-10-13 |
| 1831410471 | Shilpa N Reddy | Radiology | 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104-4238 | 2010-06-17 |
| 1326364605 | Shilpa Bokka Reddy | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2010-04-12 |
| Street Address |
5310 HOMESTEAD RD NE SUITE 301 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194710442 | Sky B Connolly | Dermatology | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2005-09-13 |
| 1518403492 | Pamela O Moore | Counselor | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 | 2017-01-16 |
| 1184096190 | Gary Lee Joseph Giron | Counselor | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2015-10-29 |
| 1821467374 | Erica A Montoya | Counselor | 5310 Homestead Rd Ne, Suite 300, Albuquerque, NM 87110-1437 | 2015-09-15 |
| 1306238324 | Tree of Life Massage and Wellness LLC | Massage Therapist | 5310 Homestead Rd Ne, Suite 202a, Albuquerque, NM 87110-1437 | 2015-02-27 |
| 1376739052 | Teri M Rolan | Pharmacist | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2007-09-17 |
| 1740485275 | Suraj Gopal Reddy | Dermatology | 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 | 2007-06-15 |
| 1316079973 | Carol Lynn Hunter | Nurse Practitioner | 5310 Homestead Rd Ne, Albuquerque, NM 87110-1437 | 2007-03-09 |
| 1790886240 | Robert Campbell Jones | Chiropractor | 5310 Homestead Rd Ne, Bldg 400, Albuquerque, NM 87110-1437 | 2006-09-26 |
| 1235238387 | Aaron Bernd Kaufman | General Practice | 5310 Homestead Rd Ne, Bldg 400, Albuquerque, NM 87110-1437 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504168 | Beautiful Transitions Consulting | Specialist | 9404 Casitas Ct Sw, Albuquerque, NM 87121-9482 | 2019-08-19 |
| 1952840191 | Odely Ortiz-vega | Specialist | 10582 Vista Bella Pl Nw, Albuquerque, NM 87114-3886 | 2017-02-21 |
| 1669824652 | Jeanette Marie Deanda | Specialist | 34 Monticello Dr Ne, Albuquerque, NM 87123-9601 | 2016-07-01 |
| 1881054583 | Tlc Therapeutics LLC | Specialist | 2708 San Mateo Blvd Ne, Albuquerque, NM 87110-3160 | 2016-02-24 |
| 1497145940 | Elevate: Performance Health Wellness | Specialist | 3901 Singer Blvd Ne, Suite B, Albuquerque, NM 87109-5862 | 2015-02-04 |
| 1336541184 | Thomas Lopez I | Specialist | 4000 Edith Blvd Ne, Albuquerque, NM 87107-2222 | 2014-09-24 |
| 1558787267 | Erica Saldana | Specialist | 5801 Jones Pl Nw, Albuquerque, NM 87120-2003 | 2014-03-05 |
| 1164851382 | Djaa Tlhenai Medicine Lodge | Specialist | 111 Carlisle Blvd Se, Albuquerque, NM 87106-1427 | 2013-11-07 |
| 1912333139 | George Richard Louderbough | Specialist | 7321 Avenida La Costa Ne, Albuquerque, NM 87109-3900 | 2013-09-19 |
| 1821420738 | Advocates of New Mexico, LLC | Specialist | 230 Adams St Se Ste C, Albuquerque, NM 87108-2805 | 2013-08-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on DR. SHILPA GOPAL REDDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.